Individual provider Active NPI

Gary Christopher Guerrino, M.D.

  • Internal Medicine Physician
  • Mount Vernon, NY
National Provider Identifier
1811981194
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
181694-1 Issued in NY
Practice address
400 E Sandford Blvd
Suite B
Mount Vernon, NY 10550-4725
Phone
(914) 699-0109
Fax
(914) 699-0385
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 181694-1 NY Primary

Addresses

Primary practice location

400 E Sandford Blvd
Suite B
Mount Vernon, NY 10550-4725

Mailing address

400 E Sandford Blvd
Suite B
Mount Vernon, NY 10550-4725
Phone (914) 699-0109

Other identifiers 2

IdentifierTypeStateIssuer
01252822MedicaidNY
134045112OtherNYFEDERAL TAX I.D. #

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address gcg9001@direct.nyp.org Direct
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110613000159 NY Practitioner - Internal Medicine 8123205598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lawrence Medical Associates PCGroup PAC ID 1759439631, 226 clinicians

Practice addresses (Care Compare)

540 Gramatan Ave
Mount Vernon, NY 10552-2104
Phone (914) 668-5944

685 White Plains Rd
Eastchester, NY 10709-5545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
181694-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Medical Associates, PC Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Jul 1, 2012 Accepting new patients
The New York and Presbyterian Hospital Internal Medicine Current Accepting new patients
New York and Presbyterian Hosp Internal Medicine CurrentSince Apr 8, 2017 Accepting new patients
New York-Presbyterian/Lawrence Hospital PastSince Jul 1, 1990 Accepting new patients

Locations

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

400 E Sandford Blvd
Ste 2
Mount Vernon, NY 10550
Phone (914) 699-0103

540 Gramatan Ave
Mount Vernon, NY 10552
Phone (855) 756-2496

400 E Sandford Blvd
Ste B
Mount Vernon, NY 10550
Phone (914) 699-0109

400 E Sandford Blvd
Mount Vernon, NY 10550
Phone (914) 699-0109

400 E Sandford Blvd
#C
Mount Vernon, NY 10550
Phone (914) 699-0109

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: gcg9001@direct.nyp.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1811981194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E SANDFORD BLVD",
            "address_2": "SUITE B",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504725",
            "telephone_number": "914-699-0109",
            "fax_number": "914-699-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SANDFORD BLVD",
            "address_2": "SUITE B",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504725",
            "telephone_number": "914-699-0109",
            "fax_number": "914-699-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRINO",
        "first_name": "GARY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "181694-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01252822",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX I.D. #",
            "identifier": "134045112",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "400 E Sandford Blvd",
            "address_2": "Suite B",
            "city": "Mount Vernon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105504725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcg9001@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "400 E Sandford Blvd",
            "address_2": "Suite B",
            "city": "Mount Vernon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105504725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "400 E Sandford Blvd",
            "address_2": "Suite B",
            "city": "Mount Vernon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105504725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.